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- Title
Do stillbirth, miscarriage, and termination of pregnancy increase risks of attempted and completed suicide within a year? A population-based nested case-control study.
- Authors
Weng, S‐C; Chang, J‐C; Yeh, M‐K; Wang, S‐M; Lee, C‐S; Chen, Y‐H; Weng, S-C; Chang, J-C; Yeh, M-K; Wang, S-M; Lee, C-S; Chen, Y-H
- Abstract
<bold>Objective: </bold>To investigate the risks of attempted and completed suicide in women who experienced a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally and compare this risk with that in women who experienced a live birth.<bold>Design: </bold>A nested case-control study.<bold>Setting: </bold>Linking three nationwide population-based data sets in Taiwan: the National Health Insurance Research Database, the National Birth Registry and the National Death Registry.<bold>Sample: </bold>In all, 485 and 350 cases of attempted and completed suicide, respectively, were identified during 2001-11; for each case, ten controls were randomly selected and matched to the cases according to the age and year of delivery.<bold>Methods: </bold>Conditional logistic regression.<bold>Main Outcome Measures: </bold>Attempted and completed suicidal statuses were determined.<bold>Results: </bold>The rates of attempted suicide increased in the women who experienced fetal loss. The risk of completed suicide was higher in women who experienced a stillbirth [adjusted odds ratio (aOR) 5.2; 95% CI 1.77-15.32], miscarriage (aOR 3.81; 95% CI 2.81-5.15), or termination of pregnancy (aOR 3.12; 95% CI 1.77-5.5) than in those who had a live birth. Furthermore, the risk of attempted suicide was significantly higher in women who experienced a miscarriage (aOR 2.1; 95% CI 1.66-2.65) or termination of pregnancy (aOR 2.5; 95% CI 1.63-3.82). In addition to marital and educational statuses, psychological illness increased the risk of suicidal behaviour.<bold>Conclusions: </bold>The risk of suicide might increase in women who experience fetal loss within 1 year postnatally. Healthcare professionals and family members should enhance their sensitivity to care for possible mental distress, particularly for women who have experienced a stillbirth.<bold>Tweetable Abstract: </bold>Suicide risk increased in women who had a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally.
- Subjects
TAIWAN; STILLBIRTH; MISCARRIAGE; ABORTION; PREGNANCY; SUICIDAL behavior; PSYCHOLOGICAL distress; WOMEN'S mental health; ABORTION &; psychology; PSYCHOLOGY of miscarriage; PERINATAL death &; psychology; PREGNANCY &; psychology; SUICIDE &; psychology; EVALUATION of medical care; SUICIDE; LOGISTIC regression analysis; ACQUISITION of data; CASE-control method; ODDS ratio; PSYCHOLOGY
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2018, Vol 125, Issue 8, p983
- ISSN
1470-0328
- Publication type
journal article
- DOI
10.1111/1471-0528.15105